Individual provider · Type 1 NPI

Victoria Secret Admire

Adult Companion · Lodi, CA

NPI number 1992537302 Active

Practice location

1111 W Tokay St
Lodi, CA 95240-3965

Call (209) 330-7155 Map

Mailing address

928 Rutledge Dr
Lodi, CA 95242-2142

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1992537302

Victoria Secret Admire's National Provider Identifier is 1992537302, issued on Aug 14, 2024. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Lodi, CA. The record was last updated on Aug 5, 2026.